NPI | 1881147171 |
---|---|
Former Name | ILONA GUNCHENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000003540) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000003540) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2016-08-03 |